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Does Medicare Cover CPAP Devices and Therapy?

Discover when Medicare covers CPAP therapy, including devices and accessories.

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CPAP Medicare Coverage

Medicare Part B may cover CPAP machines and accessories (like masks and tubing) after you meet the Part B deductible. Then, you pay 20% of the Medicare-Approved Amount for the machine rental and purchase of accessories. If you use the CPAP machine without interruption, Medicare pays the CPAP supplier to rent the machine for 13 months .

How to Qualify for CPAP Therapy with Medicare

To qualify for Medicare-covered CPAP therapy, take the following steps:

  1. Schedule an appointment with your doctor to discuss your sleep apnea concerns, which may include loud snoring and breath-holding.

  2. Complete a sleep test to determine if you experience sleep apnea episodes. Based on the results, your doctor may prescribe CPAP therapy.

  3. If you comply with the 90-day trial period, Medicare may cover CPAP therapy.

  4. Within three months of starting CPAP therapy, attend a follow-up doctor visit.

Most insurance providers require you to sleep with your CPAP equipment for at least 21 nights per month for a minimum of four hours per night.

Does Medicare Cover Sleep Studies?

Medicare Part B only covers Type I sleep tests if administered in a sleep lab facility. Furthermore, your doctor must order the test. You pay 20% of the Medicare-approved amount after you meet the Part B deductible.

Call Senior Healthcare Direct at 1-833-463-3262 and speak with a licensed agent about Medicare coverage.

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